Male Genitalia and Hernias

Question 1

What forms the shaft of the penis?

Answer 1

corpus spongiosum (containing the urethra)
two corpora cavernosa

Question 2

What forms the bulb of the penis?

Answer 2

corpus spongiosum

Question 3

What is smegma?

Answer 3

cheesy whitish secretions of the glans penis

Question 4

What do the testes contain?

Answer 4

interstitial tissue and seminiferous tubules

Question 5

What triggers pubertal growth in men?

Answer 5

5-alpha dihydrotestosterone

Question 6

What regulates sperm production?

Answer 6

FSH

Question 7

Where do sperm mature? Where are the stored?

Answer 7

epididumus

Question 8

Secretions from which 3 structures make up the seminal fluid?

Answer 8

seminal vessicle
vasa diferentia
prostate

Question 9

Increased levels of what result in vasodilation?

Answer 9

NO and cyclic GMP

Question 10

Where do lymphatics from the penile and scrotal surfaces drain into? testes?

Answer 10

inguinal nodes

LN in abdomen (clinically undetectable)

Question 11

What is an inguinal hernia?

Answer 11

When loops of bowel force their way through weak areas of the inguinal canal

Question 12

What types of hernias are more likely to present as emergencies? Why?

Answer 12

femoral; due to bowel incarceration or strangulation

Question 13

Where do indirect inguinal hernias develop?

Answer 13

at the internal inguinal ring, where the spermatic cord exits the abdomen.

Question 14

Where do Direct inguinal hernias develop?

Answer 14

more medially from weakness in the floor of the inguinal canal

Question 15

What are direct hernias associated with?

Answer 15

heavy straining or lifting

Question 16

What may cause a lack of libido?

Answer 16

psychogenic causes such as depression, endocrine dysfunction or medication side effects

Question 17

What is yellow penile discharge indicative of? white?

Answer 17

gonorrhea

chlamydia

Question 18

What is the client-centered counseling approach?

Answer 18

interactive and informative about general risk reduction

Question 19

What method is highly effective in preventing the trasmission of HIV, HPV and other STIs?

Answer 19

correct use of a male condom

Question 20

At what age should boys be vaccinated for HPV?

Answer 20

9-26

Question 21

What is the most common cancer in men ages 15-34?

Answer 21

testicular cancer

Question 22

How often should males preform testicular examinations?

Answer 22

once a month

Question 23

How should the patient be positioned when checking for hernias or varicoceles? Where should you be?

Answer 23

Patient standing

You sitting

Question 24

How do you inspect for discharge?

Answer 24

lightly squeeze glans with first 2 fingers and thumb to open the urethral meatus

Question 25

When should palpation of the shaft be omitted?

Answer 25

in a young asymptomatic patient

Question 26

what is phimosis?

Answer 26

tight prepuce that cannot be retracted over the glans

Question 27

what is paraphimosis?

Answer 27

tight prepuce that once retracted cannot be returned

Question 28

What is balanitis

Answer 28

inflammation of the glans

Question 29

What is balanoposthitis?

Answer 29

inflammation of the glans and prepuce

Question 30

What is hypospadias?

Answer 30

congenital ventral displacement of the meatus on the top of the penis

Question 31

How do we diagnose gonorrhea and chlamydia?

Answer 31

gram stain and culture

Question 32

What is cryptorchidism?

Answer 32

undecended testicle

Question 33

What are common scrotal swellings?

Answer 33

indirect inguinal hernias hydroceles scrotal edema

Question 34

What do tortuous veins signify?

Answer 34

varicocele

Question 35

What is a cyst like structure in the spermatic cord?

Answer 35

hydrocele

Question 36

What is translumination?

Answer 36

turn lights off, shine a light through the scrotum to inspect for swelling in the scrotum other than the testicles used with hydroceles

Question 37

internal ring =

Answer 37

indirect

Question 38

Over what mass can bowel sounds be heard?

Answer 38

hernia

Question 39

what is the difference between incarerated and stragulated hernias?

Answer 39

incarcerated - cannot be returned ti the abdomen straggled- blood supply to the entrapped contents is comprimised

Question 40

when do you suspect strangulation?

Answer 40

n/v and tenderness

Question 41

When is a TSE best preformed?

Answer 41

after a warm shower or bath

Question 42

what is peyronie's disease?

Answer 42

palpable nontender, heard plaques are found just beneath the skin, usually along the dorsum of the penis. The patient complains of crooked, painful erections

Question 43

What disease is associated with small testes?

Answer 43

klinefelters syndrome

Question 44

What has a thickened beading of the vas deferens?

Answer 44

TB epididymitis

Question 45

indirect hernias:

Answer 45

all ages above inguinal ligament goes into the scrotum

Question 46

direct hernias:

Answer 46

men older than 40 above pubic tubercle rarely goes into scrotum

Question 47

femoral hernias

Answer 47

more common in women below inguinal ligament and lateral never into the scrotum